ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who is postpartum and received methylergonovine
Question 1 of 5
A nurse is caring for a client who is postpartum and received methylergonovine. Which one of the following findings indicate that the medication was effective?
Correct Answer: C
Rationale: A firm fundus indicates effective uterine contraction, the desired effect of methylergonovine to prevent postpartum hemorrhage.
Extract:
Client with suspected ectopic pregnancy at 8 weeks of gestation
Question 2 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: C
Rationale: Unilateral cramp-like pain is a common symptom of ectopic pregnancy, caused by tubal stretching or rupture.
Extract:
Newborn 1 minute after delivery with slow, weak cry, some flexion of extremities, grimace to suctioning, pink body, blue extremities
Question 3 of 5
A nurse is caring for a newborn and calculating the Apgar score at 1 minute after delivery, the following findings are noted: Slow, weak cry, Some flexion of extremities, Grimace in response to suctioning at the nares, Body pink in color, Blue extremities. Calculate the newborn's Apgar score.
Correct Answer: 5
Rationale: Apgar score: Heart rate (1, slow), respiratory effort (1, weak cry), muscle tone (1, some flexion), reflex irritability (1, grimace), color (1, acrocyanosis) totals 5.
Extract:
Client who has just delivered her first newborn with anticipated hyperbilirubinemia due to Rh incompatibility
Question 4 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: A
Rationale: Rh-negative maternal antibodies attack Rh-positive fetal red blood cells, causing hemolysis and hyperbilirubinemia.
Extract:
Newborn immediately following a scheduled cesarean delivery
Question 5 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory distress is the priority assessment post-cesarean to ensure adequate newborn oxygenation.